# CREECH AID STATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIKE O'CALLAGHAN FEDERAL HOSPITAL
- **Other names:** 99th Med Gp
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942439476
- **Legal business name:** MIKE O'CALLAGHAN FEDERAL HOSPITAL
- **Authorized official:** MR. CHRISTOPHER DOUGLAS EATON (UNIFORM BUSINESS OFFICE PROGRAM MGR)
- **Authorized official phone:** (703) 681-6303

## Contact information

- **Practice address:** 2D STREET BLDG \#54, INDIAN SPRINGS, NV 89018
- **Practice address phone:** (702) 404-1142
- **Mailing address:** 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
- **Mailing address phone:** (702) 653-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 07/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2975742 | NCPDP | NV |